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作者信息

Raddaoui Yosra, Ben Amara Ahmed, Noamen Aymen, Antit Saoussen, Hajri Youssef, Habli Jamila, Ibn Hadj Amor Hassen, Ben Youssef Youssef, Zakhama Lilia, Fehri Wafa

机构信息

Hospital of Main Military Training of Tunis.

University of Tunis El Manar, Faculty of medicine of Tunis, Tunisia.

出版信息

Tunis Med. 2024 Jan 5;102(1):7-12. doi: 10.62438/tunismed.v102i1.4723.

Abstract

RESEARCH PROBLEM

Hypertension is a multifactorial disease that affects approximately one third of the Tunisian adult population. It is a major risk factor for stroke and cardiovascular disease. Environmental and psychosocial factors play an important role in hypertension onset and control. The prevalence of depression among hypertensive patients is 26, 8% and its presence is associated with increased risk of cardiovascular related morbi-mortality. Our study aims to evaluate the role of depression in blood pressure control among ambulatory hypertensive patients. Investigative process: This study is a cross-sectional, multicentric and descriptive study. We intend to include three hundred and two patients. A 24-hour ambulatory blood pressure monitor will be used to evaluate blood pressure control. Depression will be assessed by the 9-item Patient Health Questionnaire (PHQ-9) in Tunisian dialect. Clinical, socio-environmental, psychosocial and therapeutic and prognosis data will be collected from medical records. Patients will be classified into two groups: Controlled versus non-controlled hypertension. PHQ-9 scores will be then compared between the two cohorts.

RESEARCH PLAN

Ethical considerations will be undertaken and respected. All patients should express an informed oral consent before enrollment. This trial will run for three months from the 15th August 2022.

TRIAL REGISTRATION

NCT05516173.

摘要

研究问题

高血压是一种多因素疾病,影响着约三分之一的突尼斯成年人口。它是中风和心血管疾病的主要危险因素。环境和社会心理因素在高血压的发病和控制中起着重要作用。高血压患者中抑郁症的患病率为26.8%,其存在与心血管相关疾病死亡率增加有关。我们的研究旨在评估抑郁症在门诊高血压患者血压控制中的作用。

调查过程

本研究是一项横断面、多中心的描述性研究。我们计划纳入302名患者。将使用24小时动态血压监测仪评估血压控制情况。将通过突尼斯方言版的9项患者健康问卷(PHQ-9)评估抑郁症。将从病历中收集临床、社会环境、社会心理、治疗和预后数据。患者将被分为两组:血压控制组与未控制组。然后比较两组队列的PHQ-9评分。

研究计划

将进行并尊重伦理考量。所有患者在入组前应表达知情的口头同意。本试验将于2022年8月15日起进行三个月。

试验注册

NCT05516173。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c531/11261507/2a974b5f4f96/capture1.jpg

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